Medicare Physician Fee Schedule · Q3 2026 release
CPT 99202 in Chicago, IL
A low-complexity visit for a patient the practice has not seen recently — for example, a new patient with a single minor issue like a mild rash or a medication refill request. Total visit time typically runs about 15 to 29 minutes, and documentation needs only a limited problem, minimal or no data review, and low risk from the plan of care. It is the entry-level new-patient office visit.
Medicare pays, Office (non-facility) setting, in Chicago, IL
$78.61
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Chicago, IL pays above the national baseline by 4.6%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Chicago, IL pays $44.37 for 99202.
ZIP codes in this locality
This payment locality covers 228 ZIP codes, including 60004, 60005, 60006, 60007, 60008, 60009, 60016, 60017, 60018, 60019, 60022, 60025 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.